The holder whose full name is AVRA, HAROLD EUGENE,come from VINCENNES IN,hold the CSR-Dentist license(NO.12005183B) which status is Expired.
Name | AVRA, HAROLD EUGENE |
---|---|
License Number | 12005183B |
License Type | CSR-Dentist |
License Status | Expired |
City | VINCENNES |
State | IN |